Verona, WI —
OSHA Injury Report: 1491 - VERONA WI
Injury · Days away from work
At a glance
On , an injury at 1491 - VERONA WI in Verona, WI 53593 resulted in days away from work. Employee was mAINTENANCE ASST in wholesale Grocer.
Where did this happen?
- Establishment
- 1491 - VERONA WI
- Parent company
- Costco Wholesale
- Street
- 1000 Batker Court
- City
- Verona
- State
- WI
- ZIP
- 53593
- On-site location
- RECEIVING
What was the outcome?
- Outcome
- Days away from work (code 2)
- Type
- Injury (code 1)
- Days away from work
- 34
- Days restricted or transferred
- 18
Before the incident
Mopping
What happened
EE States Mopping floor backed into metal cart and left side of my back mid caught the corner of the cart
Injury or illness
Bruise or Contusion Back Upper Left Side
Object or substance involved
Foreign Body
Summary line
Bruise or Contusion Back Upper Left Side Caught by Fixed Object Foreign Body
Employee and industry
- Job description
- MAINTENANCE ASST
- SOC code
- 49-9071 — Maintenance and Repair Workers, General
- NAICS code
- 455211 — Wholesale Grocer
- NAICS vintage
- 2022
- Avg employees
- 209
- Total hours worked
- 313388
- EIN
- 911223280
- Establishment ID
- 1217627
- Employer case #
- WC413F5508
When (timing detail)
- Date of incident
- Shift started
- 14:30:00.000
- Time of incident
- 19:30:00.000
- Submitted
- 04MAR24:19:29:00
Source
Data from OSHA ITA Form 300/301 electronic submissions, filing year unspecified. ITA Case Detail records are establishment-reported submissions, not OSHA inspections — no per-record IMIS deep link exists.